Individual
JACQUIE MARIE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3011
Mailing address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00103008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00103008
NURSING LICENSE
WA
Enumeration date
09/21/2017
Last updated
06/11/2019
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